Temple Beth Emeth 2018-2019 Membership
If you would like confidential assistance in completing this process, please contact Victoria Gross, Account Administrator,
You will need to complete this form all at once. Your information will not be saved if this form is closed.
This simple process will take approximately 10-15 minutes. A confirmation email will be sent after your submission.
Fields marked with an
are required and must be filled out.
Before you begin, you will need to refer to:
- Your personalized email from Victoria Gross with last year's membership information
- Your most recent federal income tax return
- Other records of any additional household income (if applicable)
Temple Beth Emeth never turns away members based on ability to pay. If special circumstances make the financial commitment impossible, or if you have other questions or concerns, please contact:
Stephanie Newell, VP for Finance: (734) 604-5400,
or Melissa Sigmond, Executive Director, (734) 665-4744,
Adult 1 Name
Adult 2 Name
Address Line 2
State / Province / Region
Postal / Zip Code
Antigua & Barbuda
Bosnia & Herzegovina
British Indian Ocean Territory
British Virgin Islands
Central African Republic
Cocos (Keeling) Islands
Congo - Brazzaville
Congo - Kinshasa
French Southern Territories
Heard & McDonald Islands
Hong Kong SAR China
Isle of Man
Macau SAR China
Northern Mariana Islands
Papua New Guinea
São Tomé & Príncipe
South Georgia & South Sandwich Islands
St. Kitts & Nevis
St. Pierre & Miquelon
St. Vincent & Grenadines
Svalbard & Jan Mayen
Trinidad & Tobago
Turks & Caicos Islands
U.S. Outlying Islands
U.S. Virgin Islands
United Arab Emirates
Wallis & Futuna
A. MEMBERSHIP COMMITMENT
We don't have a fixed amount for dues, and instead ask members to pledge their fair share, based on income.
Your financial commitment pays for necessary operating expenses, staff and clergy salaries, as well as subsidizing more than 50% of our Religious/Hebrew Schools. In addition, TBE pays to the Union of Reform Judaism dues of approximately $90 per member family. We have provided a chart to help determine your contribution. (See the link below.)
Your membership commitment is determined by your total income from the “Adjusted Gross Income” line on your most recent federal income tax return and any income from other sources.
to view TBE 2018-2019 Membership Commitment and Capital Assessment Schedule
to determine your membership financial commitment. Enter that number in the TBE 2018-2019 MEMBERSHIP COMMITMENT section below.
My/our annual contribution pledge to the TBE community for 2018-2019 is:
Annual Membership Commitment:
B. VERIFICATION SECTION
With these initials, I/we affirm that I/we have considered all sources of income in determining my/our family basic membership commitment to Temple Beth Emeth for 2018-2019.
Please type your initials in the space below:
C. TZEDAKAH COMMITMENT
A Tzedakah contribution in any amount is another way to support the needs of the TBE community. Tzedakah is not the same as Sustaining Membership Commitment (Please see Section D below.) It is a one-time donation of any amount that you wish to contribute.
My/our Tzedakah contribution to the TBE community for 2018-2019 is:
D. SUSTAINING MEMBERSHIP COMMITMENT
We invite you to become a Sustaining Member of TBE. By making a commitment of at least $1,000 over and above your basic commitment, you will help insure the financial security of Temple Beth Emeth.
Please choose one of the options below:
I wish to become a sustaining member at TBE.
I am currently a sustaining member at TBE.
I am in the process of completing my sustaining membership and wish to renew.
I do not wish to become a sustaining member at this time.
My/our sustaining contribution to the TBE community for 2018-2019 is:
I/we pledge to the TBE community an additional sustaining commitment of at least $1,000 per year for:
Please enter number of years:
E. CAPITAL FUND
All new members are asked to pledge $2,000 over 5 years ($400 per fiscal year) to support the needs of our physical structure.
Please choose your answer:
I have already completed my capital commitment for TBE. Please complete the Capital Assessment Section below.
I am in the process of completing my 5 year capital commitment to TBE.
I have not completed my capital commitment to TBE.
Please contact me about my capital commitment to TBE.
My/our Capital Commitment contribution to the TBE community for 2018-2019 is:
Capital Commitment Contribution:
Please enter $400 in this feild.
Your Capital Commitment Contribution for 2018-19 is:
F. 2018-2019 CAPITAL ASSESSMENT COMMITMENT
At the June 2016 annual meeting, the congregation approved a capital assessment. These funds provide an ongoing revenue source to strengthen our ability to meet our financial responsibilities to our building.
Members who have completed their capital fund pledge make a capital assessments commitment. The capital assessment reflects TBE's Fair Share policy and is based on the family unit's membership commitment pledge. Click
to view TBE 2018-2019 Membership Commitment and Capital Assessment Basic Schedule to determine your Capital Assessment Commitment.
Please select amount below:
G. Optional Processing Cost Donation (TBE is charged a 3% fee per credit card and 2% fee per direct debit transaction.) I/We are pleased to add the following amount:
My/our commitments will be paid:
Annually (On the 5th of July, 2018)
Semi-annually (On the 5th of July 2018 and the 5th of January 2019)
Quarterly (On the 5th of July & October 2018; January & April 2019)
Monthly (On the 5th of each month, July 2018-June 2019)
My/our payment method will be:
Personal Check (There is no cost to TBE. I will send a check to TBE's office.)
Check issued directly from your bank to TBE (There is no cost to TBE).
You MUST set up with your bank first.
Existing Credit Card/Direct Debit on File. (
I/we authorize TBE to use existing information on file.)
New Direct debit (The cost to TBE is 2% per transaction). Please send a voided check to TBE's office.
New Credit card (The cost to TBE is 3% per transaction) Contact Victoria Gross, 734-665-4744, with card information.
Donated Stock (This is a minimal cost to TBE). Contact Melissa Sigmond, Executive Director, 734-665-4744, to initiate stock transfer.
Pay with Credit Card in FULL now.
I do not have anything that requires payment
By typing your name, you are signing this application electronically. You agree your electronic signature is the legal equivalent of your manual signature on this application.
Please type your name(s) on the space below:
Do Not Fill This Out